Department of Psychology, University of Bologna, Italy.
J Psychosom Obstet Gynaecol. 2011 Sep;32(3):135-40. doi: 10.3109/0167482X.2011.589017. Epub 2011 Jul 21.
One out of eight women suffers an episode of depression following delivery. We explored the role of expectations of partner support in postpartum depressive symptoms in new mothers attending a regional public hospital in Italy.
Seventy women participated in a two-stage (third trimester and 3 months postpartum) prospective study using self-report measures. At stage 1, they completed the Support Expectations Index to measure expectations for partner support and the Dyadic Adjustment Scale to measure conflicts in marital relationship, whereas socio-demographic (i.e. maternal age and education level) and clinical variables (i.e. previous miscarriages and depression episodes) were collected from medical reports. Depressive symptoms were evaluated at stage 2 with the Edinburgh Postnatal Depression Scale using a cut-off >9 and confirmation of marital support expectations was measured with the Expectancy Confirmation Scale. Stepwise logistic regression analysis was used to examine predictors of depressive symptoms at 3 months postpartum.
As many as 55.7% (n = 39) of new mothers presented postpartum depressive symptoms, which were predicted by low expectancy confirmation concerning partner support [odds ratio (OR) 3.02; 95% confidence interval (CI) 1.25-8.10]. Therefore, clinicians should consider the possible role of partner support when treating women with postnatal depressive symptoms.
每 8 位女性中就有 1 位会在分娩后出现抑郁症状。我们探讨了意大利一家地区公立医院新妈妈中，伴侣支持期望在产后抑郁症状中的作用。
70 名女性参与了一项两阶段（孕晚期和产后 3 个月）前瞻性研究，采用自我报告量表。在第 1 阶段，她们完成了支持期望指数，以衡量对伴侣支持的期望，以及对偶调整量表，以衡量婚姻关系中的冲突，而社会人口统计学（即母亲年龄和教育水平）和临床变量（即以前的流产和抑郁发作）则从医疗报告中收集。在第 2 阶段，使用爱丁堡产后抑郁量表（得分>9 分）评估抑郁症状，并使用期望确认量表确认婚姻支持期望。采用逐步逻辑回归分析来检验产后 3 个月抑郁症状的预测因素。
多达 55.7%（n=39）的新妈妈出现产后抑郁症状，这与伴侣支持期望的低确认有关（优势比[OR]3.02；95%置信区间[CI]1.25-8.10）。因此，临床医生在治疗产后抑郁症状的女性时应考虑伴侣支持的可能作用。
